Section 388-832-0168. Are there limits to excess medical costs?  


Latest version.
  • There are limits to excess medical costs.
    (1) The service must be of direct medical or remedial benefit to you and deemed medically necessary by your health care professional.
    (2) Therapies included under WAC 388-832-0170 may not be paid under excess medical costs.
    (3) Medical and dental premiums are excluded for family members other than the DDD eligible clients.
    (4) The need for excess medical costs must be identified in your ISP and, in combination with other IFS services, may not exceed your IFS allocation.
    (5) Other restriction per WAC 388-832-0333 also apply.
    (6) Prior approval by regional administrator or designee is required.
    [Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-0168, filed 5/13/09, effective 6/13/09. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 2007 c 283. WSR 08-16-121, § 388-832-0168, filed 8/5/08, effective 9/5/08.]
RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-0168, filed 5/13/09, effective 6/13/09. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 2007 c 283. WSR 08-16-121, § 388-832-0168, filed 8/5/08, effective 9/5/08.

Rules

388-832-0170,388-832-0333,